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中耳炎是儿童的高发病。中耳炎的病因病理是多因素的,包含免疫反应、咽鼓管功能障碍、细菌和病毒的感染、遗传以及环境因素等。早期的观察适用于大多数中耳炎儿童;对于被确诊为急性中耳炎的两岁以内的患儿,建议使用抗生素。手术方法的选择取决于合并症、儿童的生长发育状况以及对自发性渗出液的预期估计。推荐的手术方法有鼓室置管术、腺样体刮除术等。然而,到目前还没有理想的治疗方法,需要探索新的、基于现代中耳炎的病因病理理论的有创意性的治疗方法。
Otitis media is a high incidence of children. The etiology and pathology of otitis media is multifactorial and includes immune response, eustachian tube dysfunction, bacterial and viral infections, genetic and environmental factors. Early observations apply to most children with otitis media; antibiotics are recommended for children up to 2 years old who have been diagnosed with acute otitis media. The choice of surgical procedure depends on comorbidity, the child’s growth and development, and the expected estimate of spontaneous exudate. The recommended surgical methods are tympanic catheterization, adenoid curettage and so on. However, until now there has been no ideal treatment and there is a need to explore new and innovative treatments based on the theory of etiology and pathology of modern otitis media.